Dataset Information

Risk prediction and segmentation models used in the United States for assessing risk in whole populations: a critical literature review with implications for nurses' role in population health management.

ABSTRACT:

Objective

We sought to assess the current state of risk prediction and segmentation models (RPSM) that focus on whole populations.

Materials

Academic literature databases (ie MEDLINE, Embase, Cochrane Library, PROSPERO, and CINAHL), environmental scan, and Google search engine.

Methods

We conducted a critical review of the literature focused on RPSMs predicting hospitalizations, emergency department visits, or health care costs.

Results

We identified 35 distinct RPSMs among 37 different journal articles (n = 31), websites (n = 4), and abstracts (n = 2). Most RPSMs (57%) defined their population as health plan enrollees while fewer RPSMs (26%) included an age-defined population (26%) and/or geographic boundary (26%). Most RPSMs (51%) focused on predicting hospital admissions, followed by costs (43%) and emergency department visits (31%), with some models predicting more than one outcome. The most common predictors were age, gender, and diagnostic codes included in 82%, 77%, and 69% of models, respectively.

Discussion

Our critical review of existing RPSMs has identified a lack of comprehensive models that integrate data from multiple sources for application to whole populations. Highly depending on diagnostic codes to define high-risk populations overlooks the functional, social, and behavioral factors that are of great significance to health.

Conclusion

More emphasis on including nonbilling data and providing holistic perspectives of individuals is needed in RPSMs. Nursing-generated data could be beneficial in addressing this gap, as they are structured, frequently generated, and tend to focus on key health status elements like functional status and social/behavioral determinants of health.

SUBMITTER: Jeffery AD

PROVIDER: S-EPMC6952013 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Risk prediction and segmentation models used in the United States for assessing risk in whole populations: a critical literature review with implications for nurses' role in population health management.

Jeffery Alvin D AD Hewner Sharon S Pruinelli Lisiane L Lekan Deborah D Lee Mikyoung M Gao Grace G Holbrook Laura L Sylvia Martha M

JAMIA open 20190104 1

<h4>Objective</h4>We sought to assess the current state of risk prediction and segmentation models (RPSM) that focus on whole populations.<h4>Materials</h4>Academic literature databases (ie MEDLINE, Embase, Cochrane Library, PROSPERO, and CINAHL), environmental scan, and Google search engine.<h4>Methods</h4>We conducted a critical review of the literature focused on RPSMs predicting hospitalizations, emergency department visits, or health care costs.<h4>Results</h4>We identified 35 distinct RPSM ...[more]

PMID: 31984354

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Dataset Information

Risk prediction and segmentation models used in the United States for assessing risk in whole populations: a critical literature review with implications for nurses' role in population health management.

Objective

Materials

Methods

Results

Discussion

Conclusion

Publications

Risk prediction and segmentation models used in the United States for assessing risk in whole populations: a critical literature review with implications for nurses' role in population health management.

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